Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging
Primary Purpose
Pulmonary Nodules
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
MRI scan
Sponsored by
About this trial
This is an interventional diagnostic trial for Pulmonary Nodules
Eligibility Criteria
Inclusion Criteria:
- Ground-glass pulmonary nodules found by CT scan
- Plan to accept surgery or puncture due to the pulmonary nodules
- Absence of treatment such as chemotherapy or radiotherapy and biopsy
- Adequate renal function to tolerate intravenous gadolinium
- Agree to sign informed consent
- Able to lie still during DCE-MRI
Exclusion Criteria:
- Fail to understand or agree to sign informed consent
- Implanted pacemaker or cardiac defibrillator
- Contraindications to undergoing MRI
- Uncontrolled intercurrent illness
- Pregnant or breastfeeding
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
MRI scan
Arm Description
All participants will undergo 1 DCE-MRI scan before surgery or puncture.
Outcomes
Primary Outcome Measures
Volume transfer constant (Ktrans)
Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
the fractional volume of extravascular extracellular space of the target tissue (ve)
Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
the rate constant (kep)
Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05067023
Brief Title
Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging
Official Title
Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging
Study Type
Interventional
2. Study Status
Record Verification Date
October 2021
Overall Recruitment Status
Unknown status
Study Start Date
November 20, 2021 (Anticipated)
Primary Completion Date
December 15, 2022 (Anticipated)
Study Completion Date
March 15, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Qianfoshan Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Computed tomography (CT) is critical for the diagnosis of lung nodules as well as for therapeutic management. Repeated CT examinations will raise the issue of the cumulative radiation dose and subsequent risk of cancer, thus pushing the need for imaging techniques using low or no radiation dose. Magnetic Resonance Imagery (MRI) with ultrashort echo time (UTE) pulse sequences with high signal-to-noise and spatial resolution is a promising alternative for lung nodules imaging.The purpose of the study is to evaluate the value of dynamic contrast-enhanced MR imaging (DCE-MRI) to discriminate of malignant from benign lesions.
Detailed Description
Computed tomography (CT) is critical for the diagnosis of lung nodules as well as for therapeutic management. Repeated CT examinations will raise the issue of the cumulative radiation dose and subsequent risk of cancer, thus pushing the need for imaging techniques using low or no radiation dose. Magnetic Resonance Imagery (MRI) with ultrashort echo time (UTE) pulse sequences with high signal-to-noise and spatial resolution is a promising alternative for lung nodules imaging.The purpose of the study is to evaluate the value of DCE-MRI to discriminate of malignant from benign lesions.In this study, the investigators are going to validate the efficacy of the DCE-MRI for diagnosing early lung cancer by comparing results of the pre-surgery MRI imaging with the post-surgery pathology.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Nodules
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
MRI scan
Arm Type
Experimental
Arm Description
All participants will undergo 1 DCE-MRI scan before surgery or puncture.
Intervention Type
Diagnostic Test
Intervention Name(s)
MRI scan
Intervention Description
All participants will undergo 1 DCE-MRI scan.
Primary Outcome Measure Information:
Title
Volume transfer constant (Ktrans)
Description
Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
Time Frame
12 months
Title
the fractional volume of extravascular extracellular space of the target tissue (ve)
Description
Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
Time Frame
12 months
Title
the rate constant (kep)
Description
Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
Time Frame
12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Ground-glass pulmonary nodules found by CT scan
Plan to accept surgery or puncture due to the pulmonary nodules
Absence of treatment such as chemotherapy or radiotherapy and biopsy
Adequate renal function to tolerate intravenous gadolinium
Agree to sign informed consent
Able to lie still during DCE-MRI
Exclusion Criteria:
Fail to understand or agree to sign informed consent
Implanted pacemaker or cardiac defibrillator
Contraindications to undergoing MRI
Uncontrolled intercurrent illness
Pregnant or breastfeeding
12. IPD Sharing Statement
Learn more about this trial
Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging
We'll reach out to this number within 24 hrs